Sr PBM Strategic Account Executive - Remote UnitedHealth Group IncSr PBM Strategic Account Executive - RemotePittsburgh, PARemoteEnsure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Workers Comp Senior Claims Rep Remote-NJ PA MA National Interstate CorporationWorkers Comp Senior Claims Rep Remote-NJ PA MAPittsburgh, PennsylvaniaRemote$72,000–$82,000 / yearOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
NewFluent Russian Speakers - US (Task-Based, Remote, Flexible) Prolific Academic LtdFluent Russian Speakers - US (Task-Based, Remote, Flexible)Pittsburgh, PARemoteYou'll join live video calls with other Russian-speaking participants, chatting naturally about everyday topics while your conversation is used to help AI models better understand how people actually speak. This is a genuinely interesting way to shape how AI understands human conversation, one call at a time - your natural way of speaking directly helps these models learn to communicate more like a real person.
Remote - Care Coordinator - LPN - LVN - $21/Hr - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - $21/Hr - Day ShiftPittsburgh, PARemoteCareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Remote-Real Estate Investment Representative/Acquisitions Agent RebuiltRemote-Real Estate Investment Representative/Acquisitions AgentPittsburgh, PennsylvaniaRemoteRebuilt ( www.rebuilt.com ) is building a truly unique, vertically integrated real estate investment business fueled by unparalleled local market expertise and enabled by advanced technology solutions. Rebuilt is a Private Equity-backed real estate firm that creates win-win opportunities for property sellers seeking a convenient sale process and real estate investors looking for exclusive, high-return properties.
Group Sales Manager- Travel Industry (Pennsylvania-REMOTE) TRAC RecruitingGroup Sales Manager- Travel Industry (Pennsylvania-REMOTE)Pittsburgh, PennsylvaniaRemoteYou will target partner organizations, such as Alumni and educational associations, Community and civic groups, Financial institutions and banks, Media companies and newspaper organizations, Senior travel clubs and special-interest groups, and Travel agencies and tour-related businesses. This role is ideal for a consultative sales professional who enjoys building partnerships, generating new business, and helping groups create memorable travel experiences.
Complex Case Manager RN - (Remote) Highmark IncComplex Case Manager RN - (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Care Manager RN - UM (Full-Time) Weekends (Remote) Highmark IncCare Manager RN - UM (Full-Time) Weekends (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Medical Case Manager - Pediatric Shift Care (RN) Remote Highmark IncMedical Case Manager - Pediatric Shift Care (RN) RemotePARemoteLicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master's degree OR; 5 years' experience with a Bachelor's in Social Work.
Remote Travel Advisor Affinity TravelsRemote Travel AdvisorPittsburgh, PennsylvaniaRemoteWith a passion for authentic connection and personalized service, we turn travel into storytelling, helping explorers discover the world through culture, community, and curiosity. You’ll help clients explore the rich tapestry of Travel , from the adobe charm of Boise to the vibrant energy of the Caribbean, all while working on your own terms.
Dietitian - Part-Time - Remote Highmark IncDietitian - Part-Time - RemotePARemoteIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Job Description: GENERAL OVERVIEW: This job directs and provides nutrition care to patients through the process of assessment planning, implementation and monitoring; provides nutrition education to patients and staff.
Physician - Tele-Radiology, Fully Remote West Virginia University MedicinePhysician - Tele-Radiology, Fully RemotePARemoteAdditional Job Description: WVUHS Medical Group seeks Tele-Radiologists to join our growing team across West Virginia, Pennsylvania and Ohio. For additional information, please contact Sonya Petry, Senior Physician Recruiter & Talent Advisor, at sonya.petry@wvumedicine.org.
NewCare Manager RN - Medicaid (Remote) Highmark IncCare Manager RN - Medicaid (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Project Manager - Consumer Initiated Testing (Remote) Quest Diagnostics IncProject Manager - Consumer Initiated Testing (Remote)Pittsburgh, PARemoteResponsibilities: • Lead cross functional teams to identify, develop and implement product/solutions addressing unmet customer needs that will drive profitable growth in sub-segment• Develop sub-segment annual Operating Plan (AOP) in concert with Value Delivery partners• Execute effective life-cycle management across the sub-segment through robust cross-functional team management• Work with Value Delivery partners to achieve agreed revenue, volume and margin targets in AOP• Partner with Marketing on product/solution marketing strategy and mix• Rigorously assess new products/solutions to enable prioritization within R&D, IT and Operations• Generate customer insights to define customer/market sub-segment requirements to set product/portfolio solution, priority setting, risk management• Define and manage product/service sub-segment metrics (including TAT and other potential requirements such as billing programs, prior authorization etc.)• Assure the voice of customer is brought into the in-line and product/solution creation process• Understand the competitive landscape to insure we have winning solutions in development and in the marketplace• Understand continuum of care requirements and gaps• Solution Vision- aid in collaborating to develop clear and compelling solutions aligning with goals and segment strategy• Solution Development- Support in creating and maintaining a clearly defined strategy aligned to markets and future offerings• Market Research- Compile market research data to support identification of trends• Product Roadmap- aid in tailoring and managing defined product roadmap, prioritizing by size and scale of initiatives measured over outcomes, opportunity, and profitabilityQualifications: Required Work Experience: • 5+ years relevant experience in healthcare, preferable with at least 3 years in marketing & product management • Knowledge of Quest Diagnostics go-to-market strategy and alignmentsPreferred Work Experience: • Previous P&L management experience preferred• Detailed knowledge of Quest Diagnostics Clinical Franchises and its organizationPhysical and Mental Requirements: • Manage multiple priorities, adjust priorities quickly as circumstances dictate• Working on a computer for long periods of timeKnowledge and Skills:• Past record of achieving revenue, volume and margin targets • Development of Strategic Plan• Development of annual operating plan• Discretionary management of portfolio spendEducation:Bachelor''s Degree in Life Sciences, Business, Marketing and/or Product ManagementAdvanced degree/MBA preferred66142Quest Diagnostics honors our service members and encourages veterans to apply. Students & early career | Quest Diagnostics Whether you are transitioning from high school, college or to civilian life after serving in the military, we have programs that can help you reach your goals - and share in the incredible work we do.
Remote Sales ($100K+, Training Provided, No Cold Calls), United States Meron & Kemboi Financial AgencyRemote Sales ($100K+, Training Provided, No Cold Calls), United StatesPittsburgh, PARemote$7,000–$8,500Meron Financial Agency is expanding in the Houston market and actively hiring agents who want to grow fast and earn at a high level. You will work with people who already requested information through inbound leads and Warm Leads.
Data Scientist, Intern (Remote) Quest Diagnostics IncData Scientist, Intern (Remote)Pittsburgh, PARemoteHealthcare Analytics Solutions HAS is an innovative team within Quest Diagnostics that leverages Quest data to develop products and services to improve outcomes in healthcare across many different markets: • Pharma • Clinical Trials • Health Plans • Payers • Hospitals • Health Systems • Public Health agencies. Medical Laboratory Scientist II Watervliet, Michigan 03052026 Medical Laboratory Scientist IIFremont, Michigan 03052026 Medical Laboratory Scientist IISaint Joseph, Michigan 03052026.
Remote Recruiter - Earn Per Placement RecXchangeRemote Recruiter - Earn Per PlacementPittsburgh, PennsylvaniaRemote$3,000–$11,000 / monthRecXchange gives you access to real job roles and lets you earn by simply introducing candidates. Want to earn online without selling, coding, or creating content? .
IIoT Engineer (Remote) Ectobox Inc.IIoT Engineer (Remote)Pittsburgh, PARemoteBuild real-time data flows using but not limited to Data Brokers (MQTT/Sparkplug B), SQL Databases, HighByte DataOps, Canary Labs Historian. Experience in prompt engineering and leveraging LLMs to assist in code development and automated daily tasks, including the creation of agents and sub-agents to achieve desired outcome.
Mortgage Loan Officer - 180 BPS - 104 Investors - Remote - W-2 or 1099 Tag Lending GroupMortgage Loan Officer - 180 BPS - 104 Investors - Remote - W-2 or 1099Pittsburgh, PennsylvaniaRemote$150,000–$500,000 / yearHere’s how we do it: Smart Automation From lead nurturing to borrower updates, our automated workflows keep clients engaged and files moving, allowing MLOs to focus on production, not follow-ups. We're a Non-Delegated Correspondent Wholesale Mortgage Lender with access to 104+ investors , AI-powered technology, dedicated operations, and a proprietary mortgage platform designed to help you grow your business faster.
Commercial Title Searcher - OH (Remote) First American Financial CorpCommercial Title Searcher - OH (Remote)Pittsburgh, PARemoteFirst American's GO Title division provides global title and escrow production support across all channels within First American Title including the Mortgage Services, Commercial, Direct, and Agency divisions. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For list for eleven consecutive years.